Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $85.19 / $207.13	Facility		$25.61	$85.19	$207.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $10.26 / $46.25	Professional		$5.83	$10.26	$46.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $7.24 / $8.19	Professional		$4.83	$7.24	$8.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $21.25 / $41.06	Facility		$10.13	$21.25	$41.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.46 / $9.33	Professional		$6.50	$7.46	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $6.93 / $8.46	Facility		$5.53	$6.93	$8.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $6.74 / $7.38	Professional		$5.53	$6.74	$7.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $21.51 / $31.03	Professional		$9.81	$21.51	$31.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $96.26 / $260.17	Facility		$25.34	$96.26	$260.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $10.40 / $54.15	Professional		$5.85	$10.40	$54.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $100.00	Professional		$4.05	$4.05	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.94 / $18.62	Professional		$7.78	$9.94	$18.62